Artículo de revista
Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014
Fecha
2017Registro en:
Acta Odontologica Scandinavica, Volumen 75, Issue 1, 2018, Pages 36-58.
15023850
00016357
10.1080/00016357.2016.1247465
Autor
Jiménez-Silva, Antonio
Peña-Durán, Consuelo
Tobar-Reyes, Julio
Frugone-Zambra, Raúl
Institución
Resumen
Objective: In order to establish a relationship between bruxism and temporomandibular disorders
(TMDs), a systematic review was performed.
Materials and methods: A systematic research was performed based on PubMed, Cochrane Library,
Medline, Embase, BIREME, Lilacs and Scielo data bases, between 2003 and 2014 including all languages. Descriptive clinical cases were identified. Two independent authors selected the articles. PICO
format was used to analyse the studies and the Newcastle-Ottawa Scale (NOS) was used to verify the
quality of the evidence.
Results: Thirty-nine studies (n ¼ 39) were analysed in this review. According to bruxism diagnosis,
articles were grouped as follows: polysomnographic diagnosis (PSG) (n ¼ 7), clinical diagnosis (n ¼ 11)
and survey/self-report (n ¼ 21). Thirty-three articles (n ¼ 33) established a positive relation between
bruxism and TMD and six (n ¼ 6) did not. Quality of evidence was low to moderate. In general, the
most part of the studies showed shortcomings on their design with bias risk, and also had a low sensitivity on bruxism diagnosis.
Conclusions: The evidence based on PSG was not as conclusive as the studies that used surveys and
clinical exam to diagnosis bruxism, when bruxism was related to TMD. Sleep bruxism could be associated with myofascial pain, arthralgia and joint pathology as disc displacement and joint noises.
Although the evidence at present is inconclusive and does not provide information according to the
type of bruxism (bruxism sleep and wakefulness), it is possible to suggest that bruxism would be associated with TMD.